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NPI Code Detail

MEDICARE: FAMILY CARE MEDICAL CLINIC

MEDICARE: FAMILY CARE MEDICAL CLINIC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1538346572
Entity Type Code : Organization
Provider Name (Legal Business Name) : FAMILY CARE MEDICAL CLINIC
Provider Business Mailing Address
First Line : 2825 NW 23RD ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73107-2213
Country : US
Telephone Number : 405-525-1975
Fax Number : 405-208-4096
Provider Business Practice Location Address
First Line : 2825 NW 23RD ST
Second Line :
City : OKLAHOMA CITY
State : OK
Zip : 73107-2213
Country : US
Telephone Number : 405-525-1975
Fax Number : 405-208-4096
Authorized Official
Title or Position : MEMBER
Name : DR. TUAN ALEX NGUYEN
Credential : M.D.
Telephone Number : 405-525-1975
Provider Enumeration Date : 01/22/2008
Last Update Date : 01/22/2008

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Directions to “FAMILY CARE MEDICAL CLINIC ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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